Confirmation form
Sponsorship Surgical AI & Telesurgery Days 2026
Contact details
Company & contact name:
*
Company
Contact name
Phone number:
*
-
Country code
Phone number
Email:
*
surgicalai@telesurgery.com
Invoicing details
Company & contact name:
*
Company
Contact name
Address:
*
Street name & number
Street Address Line 2
ZIP
City
Country
Email for invoicing:
*
surgicalai@telesurgery.com
VAT number:
*
Rates are excluding VAT & any services or extras
PO number:
Please enter if already available, if not provided by 15.09.2025, we will not include the PO number on the invoice.
Memberships
Please indicate if you are a member of any of the following organizations?
EFPIA member
Mecomed member
MedTech Europe member
None of the above
Approval required
Please indicate if any of the following approvals are required for your participation as a sponsor.
Mdeon approval
CVS approval
Other approvals or protocols required (please specify below)
If you need other approvals, please specify here:
Sponsorship packages
We’re excited to have you on board! Please select the sponsorship package that suits you best. You can find all the info about the packages in the PDF document on our website.
I would like the following package:
*
Platinum sponsorship - € 75.000
Gold sponsorship - € 50.000
Silver sponsorship - € 25.000
Bronze sponsorship - €10.000
Live surgery support - €7.500
Exhibitor workshop - €5.000
Only fill this in if you do not wish to use all elements of your package. Please indicate which benefits you’d like to activate (e.g. booth, presentation, etc.)
Payment information
Upon receipt of the completed sponsor package booking and contract, an invoice will be sent. Payment in full must be received 1 month prior to the start of the congress.
GDPR policy
By submitting your registration you agree that the photographs taken during the congres, in which you may appear, may be used for publication by Orsi Academy. This is in accordance with the Orsi Academy GDPR policy.
Signature
I hereby confirm sponsoring the Surgical AI & Telesurgey Days 2026.
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